| NPI | 1093771719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A. SPATEHOLTS CEO 843-200-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC SR0008207001GH) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |